A nurse is assessing a child who is 2 hr postoperative following a cardiac catheterization and finds the dressing is saturated with blood. Which of the following actions should the nurse take first?

Apply pressure just above the insertion site.

Monitor the pulse distal to the insertion site.

Obtain vital signs.

Reinforce the dressing.

Answer and Explanation

The Correct Answer is A

A.   This is the first step to control bleeding and prevent further blood loss.
B.   Monitoring the distal pulse is important, but controlling bleeding takes precedence.
C.   Vital signs can wait momentarily until the bleeding is under control.
D.   Reinforcing the dressing may be necessary, but controlling bleeding is the immediate priority.

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Correct Answer is A

Explanation

A. Vomiting is a sign of potential digoxin toxicity, and the nurse should revise the plan of care for this toddler.
B. This digoxin level is within the therapeutic range.
C. An apical pulse of 100/min could be normal for a toddler, but it should be monitored closely in the context of digoxin therapy.
D. This potassium level is within the normal range.

A. "My child held their urine for about 15 minutes before going to the bathroom." B. "My child has been drinking a lot less since they started treatment." C. "My child went to the bathroom two times when the alarm went off last night." D. "My child has been doing Kegel exercises to strengthen their pelvic muscles."

Correct Answer is C

Explanation

A. Holding urine for extended periods may indicate urinary retention, which is not the desired outcome of treatment for enuresis.
B. Drinking less may not necessarily indicate treatment effectiveness and could lead to dehydration.
C. Waking to urinate in response to the alarm indicates improved bladder control and responsiveness to conditioning therapy for enuresis.
D. Kegel exercises primarily target pelvic floor muscles and may not directly address the underlying causes of enuresis.

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A nurse is assessing a child who is 2 hr postoperative following a cardiac catheterization and finds the dressing is saturated with blood. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a group of toddlers receiving digoxin therapy. For which of the following toddlers should the nurse revise the plan of care?

Correct Answer is A

Explanation

A nurse is caring for a child who is receiving conditioning therapy for enuresis. Which of the following statements by the child's parent indicate the treatment is effective?

Correct Answer is C

Explanation

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